Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $306.47 / $363.12 / $834.52	Facility	26	$306.47	$363.12	$834.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $293.35 / $362.38 / $448.66	Professional	26	$293.35	$362.38	$448.66
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $321.89 / $403.00 / $856.49	Facility	26	$321.89	$403.00	$856.49